Ever Think Nursing Might Not Be Enough?

Nurses Career Support

Published

Hi All,

I graduate with my BSN in 5+ months and as much as I know my job is to make nursing diagnoses and not those of the medical variety, I find myself constantly focusing on the latter. It might just be due to the fact that the docs are rarely able to fully commit to a diagnosis when they chart their progress notes, so in my free time I dig through radiology summaries and whatever else I can find to fulfill my own curiosity about "what is really going on."

Or, maybe I'm just more geared toward being a doctor or a PA.

I applied to nursing school because I get a great feeling when I ease someone else's pain. I admit, it is more for me than it is them. But the natural by-product of my selfishness is my patients get excellent care. I go out of my way to not just do what is expected of me, but also to make my patient's time enjoyable. Nothing is better than when a patient says something like, "I didn't notice my pain all afternoon."

But looking toward the future, once my freshman idealism starts to dull a bit (and our instructors keep assuring us it will), what could likely sustain me is the challenge of differential diagnosis.

So my question...has anyone considered making the change, or do you know anyone who has actually gone from RN to MD or DO or PA...and what has the transition been like?

Specializes in ER.

Fortunately I went to nursing school before they invented that stupid nursing diagnosis! We did have care plans and they were tedious but actually useful to the student as it helped organize and understand your patient.

There are many nurses who either hated bedside nursing or just couldn't cut it who are sitting in offices right now coming up with useless forms to be filled out, useless new protocols that have nothing to do with patient care or safety, computer programs that are no more intuitive than Super Mario Brothers videos.

Every new tool, protocol or edict is something else we must learn to work around so we can take care of our patients. More and more stumbling blocks are there to actually keep nurses away from the bedside. It is all about the chart, the policy and procedure manuals, the inservice sign in sheets, etc.

Once you get into the real world, all of that nursing diagnosis silliness will fade away and you will be working with legitimate medical issues. So do not fret over it, just slog through, jump thru the hoops and someday you will actually be able to do real medicine, and don't let anyone tell you we don't! As someone already said, WE are the eyes and ears of the docs. We know what is going on when no one else does. It is a tremendous responsibility not to be taken lightly. So carry on, finish up, and come join us. :D

Specializes in ER.

I've been thinking this myself and have a strong urge to become a PA. Thank you for asking it on this forum. I'd go for MD if I were you.

Specializes in Trauma, Emergency.

you and i are on the SAME page, i'm just a little behind you in school. thanks for posting. i love helping people but plain ole' down and dirty science and dx really gets me goin... :smokin:

+ Add a Comment